We wish to apply for membership in VIS® and secure insurance for our volunteers
through The CIMA Companies, Inc.
When we receive your completed application and payment, coverage will be effective the
first day of the following month, unless you prefer a later month. The policies expire July 1.
Therefore, the premium you pay now will be a prorated amount covering only the period between
your effective date and next July 1 (we will send a renewal application).
In the following section, first indicate the month when you wish coverage to begin (it must be
a future month). Then, fill in the number of volunteers. The annualized premium and prorated
amount will be calculated for you and shown in separate columns. The total amount due now,
including the Volunteers Insurance Service membership fee, also will be shown.
The rates will change 7/1/2016, please contact the Volunteers Insurance Service staff at 800.222.8920 for rates.
To submit your application online: Note the amount that is due now, so you can write a check to follow up the application. On the memo line of your check, write the name of the sponsoring organization, just as it appears on the application. Then just press the SUBMIT button, and send your check to us at the address below.
To submit your application by mail: Press the PRINTER FRIENDLY VERSION button, print your application, and sign it (IMPORTANT). On the memo line of your check, write the name of the sponsoring organization, just as it appears on the application. Then send the application and the check to the address below.
Volunteers Insurance Service®
2750 Killarney Drive, Suite 202,
Woodbridge VA 22192
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